On 12 September, UK child and adolescent psychiatrist Sami Timimi published “When mental-health diagnoses become brands, the real drivers of our psychic pain are hidden” in the Globe and Mail, a Canadian newspaper.
In his superb article, Sami carefully explains how he arrives at his painful conclusion:
You see there is a truth that we (in the mental-health business) hope no one will notice – we literally don’t know what we are talking about when it comes to mental health.
An obvious problem is that all definitions of psychiatric disorders are subjective. They are not objective facts such as a broken bone is. This means they can be expanded in a myriad of ways to capture a kaleidoscope of distress, alienation, and dissatisfaction, and that psychiatric diagnoses are consumer brands, not medical diseases.
In medicine, a diagnosis is aimed at determining which disease explains a person’s symptoms and signs, which enables effective matching of a treatment to address specific disease processes.
This is not the case in psychiatry. And all psychiatric drugs have nonspecific effects that are not directed against some cause of a disease. Their effects are similar to those of alcohol, narcotics, and other brain-active substances.
But, as Sami explains, increasingly, youngsters are getting diagnosed with ADHD, trauma, depression, anxiety, PTSD, autism, and often several such diagnoses. Their conversations may address gender identity, neurodiversity, and “having” a mental health disorder such as ADHD.
The facts are that virtually no one is in doubt about whether they are male or female; neurodiversity is a meaningless concept used by psychiatrists to impress the public about how knowledgeable they are but it just means that all people are not the same; and one cannot “have” ADHD, which is just a name for a subjective description of rather common behaviours and therefore cannot explain anything.
What people should realise is that it is part of being human to have difficulties that can be handled better if we don’t give people psychiatric diagnoses and drugs. Difficulties often have a cause that has nothing to do with being ill, e.g. poverty, trauma, inadequate housing, social injustice, marital problems, discrimination, exclusion, bereavement, unemployment, and financial insecurity. Life is not easy, but if you have difficulty coping with its challenges, you can easily get one or more psychiatric diagnoses.
There is a lot of misinformation that leads people astray, in scientific articles, newspapers, TV, radio, and social media. When youngsters look up descriptions of people who say they “have” ADHD on social media, they may be convinced they “have” it too and may even self-diagnose. There is an element of social contagion in this, and the criteria for ADHD are so vague and ludicrous that when I lecture and ask people to use the adult ADHD test on themselves, it never fails that one quarter to half the audience test positive.
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